0001104659-17-072108.txt : 20171206
0001104659-17-072108.hdr.sgml : 20171206
20171206170025
ACCESSION NUMBER: 0001104659-17-072108
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171204
FILED AS OF DATE: 20171206
DATE AS OF CHANGE: 20171206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Salzberg Matthew B
CENTRAL INDEX KEY: 0001710351
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38134
FILM NUMBER: 171242857
MAIL ADDRESS:
STREET 1: 5 CROSBY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10013
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Blue Apron Holdings, Inc.
CENTRAL INDEX KEY: 0001701114
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961]
IRS NUMBER: 814777373
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 5 CROSBY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10013
BUSINESS PHONE: 347-719-4312
MAIL ADDRESS:
STREET 1: 5 CROSBY STREET
CITY: NEW YORK
STATE: NY
ZIP: 10013
4
1
a4.xml
4
X0306
4
2017-12-04
0
0001701114
Blue Apron Holdings, Inc.
APRN
0001710351
Salzberg Matthew B
C/O BLUE APRON HOLDINGS, INC.
40 WEST 23RD STREET
NEW YORK
NY
10010
1
0
1
0
Restricted Stock Units
2017-12-04
4
A
0
33245
0
A
Class A Common Stock
33245
33245
D
Each restricted stock unit represents a contingent right to receive one share of Class A Common Stock.
The restricted stock units are scheduled to vest in full on the first anniversary of December 4, 2017.
/s/ Benjamin C. Singer, as attorney-in-fact for Matthew B. Salzberg
2017-12-06